Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil

Detalhes bibliográficos
Autor(a) principal: Elaine Silva Miranda
Data de Publicação: 2017
Outros Autores: Kimberley Shoaf, Raulino Sabino da Silva, Carolina Figueiredo Freitas, Claudia Garcia Serpa Osorio-de-Castro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447
Resumo: Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS). The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19) in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges) to -60,569 beds (for mass casualties). The study can contribute to discussions on mass-gathering preparedness.
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spelling Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in BrazilBed OccupancyHospital Bed CapacityEmergency PlansPlanning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS). The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19) in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges) to -60,569 beds (for mass casualties). The study can contribute to discussions on mass-gathering preparedness.Planificar eventos para masas de gente implica la preparación del sistema de salud, basada en una comprensión de los riesgos naturales y tecnológicos, que hayan sido identificados previamente tras una evaluación de riesgos. Presentamos los riesgos esperados que fueron informados por los gestores de salud en las ciudades brasileñas anfitrionas de la Copa Mundial de la FIFA, y los discutimos, considerando el número mínimo disponible de camas en hospitales públicos en 12 ciudades, durante el evento deportivo. Hubo cuatro grupos diferentes de entrevistados: gestores del servicio farmacéutico y, en general, distintos gestores de salud en ambos niveles: municipal y hospitalario. La ratio de ocupación de camas se calculó basándose en el Sistema de Información del Sistema Único de Salud (DATASUS). El número de camas sobrantes fue calculado usando parámetros de la literatura, concernientes a las necesidades surgidas, número de víctimas y número de camas desocupadas. En todos los grupos, las lesiones físicas se encontraban en primera posición, seguidas de las enfermedades emergentes y endémicas. Las ratios base de referencia de ocupación fueron altas (IC95%: 0,93-2,19) en las12 ciudades. La escasez total, considerando todas las ciudades, oscila desde -47.670 (para incrementos) a -60.569 camas (para víctimas en masa). El estudio puede contribuir a discusiones sobre la preparación de eventos para muchedumbres.O planejamento de megaeventos envolve a preparação do sistema de saúde, com base na compreensão dos perigos naturais e tecnológicos, através da avaliação antecipada dos riscos. Os autores apresentam os riscos esperados relatados pelos gestores da saúde das cidades-sede durante a Copa do Mundo FIFA de 2014 no Brasil e discutem os riscos com base na disponibilidade mínima de leitos hospitalares públicos nas 12 cidades na época do evento. Quatro grupos foram entrevistados: gestores de serviços farmacêuticos e gestores gerais da saúde, ambos nos níveis municipal e hospitalar. Foi calculada a taxa de ocupação dos leitos hospitalares com base em dados do Departamento de Informática do Sistema Único de Saúde (DATASUS). O excedente de leitos foi calculado, utilizando parâmetros da literatura sobre picos de demanda (surges) e acidentes com múltiplas vítimas e o número de leitos desocupados. Em todos os grupos, as causas externas ocuparam o primeiro lugar, seguido pelas doenças emergentes e endêmicas. Todas as 12 cidades já apresentavam taxas de ocupação altas (IC95%: 0,93-2,19). O déficit total de leitos, considerando todas as cidades, variava de -47.670 (para picos de demanda) até -60.569 leitos (para acidentes com múltiplas vítimas). O estudo pode subsidiar as discussões sobre o preparo para megaeventos.Reports in Public HealthCadernos de Saúde Pública2017-06-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447Reports in Public Health; Vol. 33 No. 5 (2017): MayCadernos de Saúde Pública; v. 33 n. 5 (2017): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447/13774https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447/13775Elaine Silva MirandaKimberley ShoafRaulino Sabino da SilvaCarolina Figueiredo FreitasClaudia Garcia Serpa Osorio-de-Castroinfo:eu-repo/semantics/openAccess2024-03-06T15:29:19Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6447Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:23.270774Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
title Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
spellingShingle Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
Elaine Silva Miranda
Bed Occupancy
Hospital Bed Capacity
Emergency Plans
title_short Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
title_full Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
title_fullStr Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
title_full_unstemmed Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
title_sort Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil
author Elaine Silva Miranda
author_facet Elaine Silva Miranda
Kimberley Shoaf
Raulino Sabino da Silva
Carolina Figueiredo Freitas
Claudia Garcia Serpa Osorio-de-Castro
author_role author
author2 Kimberley Shoaf
Raulino Sabino da Silva
Carolina Figueiredo Freitas
Claudia Garcia Serpa Osorio-de-Castro
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Elaine Silva Miranda
Kimberley Shoaf
Raulino Sabino da Silva
Carolina Figueiredo Freitas
Claudia Garcia Serpa Osorio-de-Castro
dc.subject.por.fl_str_mv Bed Occupancy
Hospital Bed Capacity
Emergency Plans
topic Bed Occupancy
Hospital Bed Capacity
Emergency Plans
description Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS). The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19) in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges) to -60,569 beds (for mass casualties). The study can contribute to discussions on mass-gathering preparedness.
publishDate 2017
dc.date.none.fl_str_mv 2017-06-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447/13774
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6447/13775
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 33 No. 5 (2017): May
Cadernos de Saúde Pública; v. 33 n. 5 (2017): Maio
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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